Management of advanced chronic liver disease in a hospice setting – a shared care strategy

South east England
This project aimed to improve care for people with advanced chronic liver disease through timely access to support services and interventions, and hospice-based clinical and therapeutic services.

Improving pressure damage detection in the community using continuous pressure monitoring

South west England
Run by Peninsula Community Health, a not-for-profit service provider to NHS Kernow, with support from Plymouth University. Around 50 patients will be recruited to the project, which is being run across Cornwall. Aiming to reduce the risk of pressure ulcers in older people living in the com...

Frail older people and safety across the continuum of care

An NHS Borders project, run in partnership with Healthcare Improvement Scotland, which will test the Safety Measurement and Monitoring across a pathway spanning primary, secondary and social care services, focusing on older people. The work will involve developing a set of measures to assess perf...

Dignity in practice: understanding and responding to the needs of frail older people in hospital

North east England
Led by Northumbria Healthcare NHS Foundation Trust in partnership with Age UK, this project aimed to ensure older people receive compassionate care, in environments where their needs are understood and met. The work focused on changing three services with a significant role in improving quality o...

Reducing falls and unnecessary medications through an orthostatic hypotension pathway (NOHARM)

North west England
Led by Stockport NHS Foundation Trust, this project aimed to design a pathway to help identify orthostatic hypotension in older patients, to reduce falls and unnecessary medication use. The team used a co-production approach to develop an orthostatic hypotension pathway (lying and standing blood ...

Safer Clinical Systems: East Kent Hospitals University NHS Foundation Trust

South east England
Led by a team at East Kent Hospitals University NHS Foundation Trust, the project aimed to improve communication during transfer of care processes, for frail and elderly patients. The team set out to develop a formal support structure for patients, carers and primary care providers following disc...

Asan Akpan, Quality Improvement Fellow

North west England
Asan Akpan has been a Consultant Physician in Geriatric and General (Internal) Medicine at Warrington and Halton Hospitals NHS Foundation Trust for just over 6 years.

The Fallsafe project

South east England
Led by Adam Darowski, Consultant Geriatrician, John Radcliffe Hospital and run by the National Falls and Bone Health Programme in a variety of hospital settings across the South Central region of England, this project aimed to ensure that simple guidelines are implemented in hospital wards to red...

Kevin Stewart, Quality Improvement Fellow

Dr Kevin Stewart was a 2009/10 Quality Improvement Fellow and has recently been appointed as Director of the Clinical Effectiveness and Evaluation Unit at the Royal College of Physicians of London. This Unit runs 16 national audits in different clinical areas and lead several related QI projects....